Treat your pain and live a better life…

best-pain-doctor-nycWelcome to my blog about pain. Unfortunately, many people suffer from chronic pain. As a board certified physician in physical medicine and rehabilitation, my specialty is treating these people with both acute and chronic pain.

A majority of my practice is working with patients that are experiencing back and neck pain.

My goal with this blog is to help patients who are experiencing any type of back or neck pain to understand what is causing their pain and discuss options that are available to end their pain. I hope to be able to provide readers with a portal that they can can use to educate themselves and facilitate treatment.

My specialty is my Interventional Spine Skills including cervical and lumbar epidural steroid injections, facet injections, medial branch blocks, Radiofrequency ablation, sympathetic ganglion blocks, spinal cord stimulator trials, sacroiliac joint injection, piriformis muscle block and musculoskeletal joint injection. I also perform many other procedures to alleviate acute and chronic pain.

I hope you enjoy reading my blog as much as I enjoy writing it and observing people from all over the world reading it.

– Matthew Grimm, M.D.

Category Archives: Injections for Pain

Injections for Pain: Types, Process, and Diagnosis

Are you considering injections for Chronic physical pain is a prevailing condition that arises due to several dozen reasons in seniors, adults, and even children. In fact, 50 million Americans (approximately 20% of the adult population) suffer from chronic pain conditions, which become highly probable after the age of 65. Did you do the math yet? That’s one in every five American adults!

In general, chronic pain conditions cause complications in your daily routine and the tasks within. In simple terms, you experience difficulty performing regular tasks. There’s a wide variety of causes for chronic pain, which necessitate precise diagnostics and treatment courses.

Injections for Pain | NYC Pain Doc

For one, if the therapeutic and other non-medication treatments yield no results towards recovery, what’s your next option? Injections! Of course, under the prescription and supervision of your pain physicians, they can offer long-lasting or even short-term relief.

Process of Pain Relief via Injections

Injections are extremely precise in delivering medication to the exact location (i.e., anatomic) to relieve chronic pains (e.g., back, neck, shoulders, arms, etc.). What’s more? Injections to the spine can assist in detecting structural deformities or the presence of injuries. One example of such a situation is herniated disks.

Firstly, the precise insertion of medication into the pain source via injections reduces inflammation. Secondly, it creates heat gashes that prevent the pain-source (nerves) from delivering pain signals to the brain.

6 Types of Pain Management Injections

If other treatment methods fail to provide significant results, interventional pain management can incorporate the use of injections to provide relief. But, what are the different types of injections for pain management? What are their effects? Most importantly, what application compels the use of a certain injection type for pain management? Let’s take a look.

1.     Facet Joint Injections

The facet joint injections deliver local anesthetics and minute dosages of corticosteroids under the guidance of live X-rays. While their prime application is the diagnosis of the pain source, they are also applicable in various treatment courses to alleviate the pain. Common places of chronic pain suitable for facet joint injections include the lower and upper back, neck, and buttocks.

2.     Major Joint Injections

Normally, the insertion of major joint injection occurs in the shoulders, knees, and /or hips to treat numerous chronic pain causes. Although they require ultrasound or live X-ray guidance, they are able to deliver anesthetics, corticosteroids, and/ or hyaluronan into the exact source of pain.

3.     Epidural Steroids

The administration of Epidural steroids injection entails the treatment of shoulder, back, leg, or even arm pain due to spinal nerve (roots) inflammation. Applicable for insertion under local anesthesia, epidural steroids are less harmful in the form of injections rather than oral intakes. Hence, they relieve pain while allowing detection of the source.

Combined with anti-inflammatory medicines, small dosages of corticosteroids are proficient in relieving pain, with effects lasting several months.

4.     Occipital Nerve Blockages

The back of the head (where your doctor will insert an occipital nerve blockage injection) is home to the occipital nerves, which connect your spinal cord to your scalp. Occipital Nerve blockage injections treat various headaches, as well as migraines. Generally, it is a 30-second procedure under local anesthesia that rarely contains any corticosteroids.

Injections for Pain NYC

5.     Sacroiliac (Joint Block) Injection

SI Injections treat pain in the lower back joint, which connects to the pelvis. Moreover, it functions to diagnose and treat chronic pain conditions. However, your pain physician will use fluoroscopic guidance to administer steroids following the initial delivery of lidocaine (a numbing agent). SI injection also paves the way for physical therapies and chiropractic adjustments.

6.     Selective Nerve Root Block

SNRB injection is applicable to treat pain from inflamed or compressed nerve roots of the cervical area because of a herniated or degenerating disk. SNRB injections allow the detection of the pain’s source, starting from your shoulders down to your hands. The insertion of SNRB Injection results in long-term relief from the chronic pain in the nerve root.

Despite long-term effects, administration begins with the delivery of a contrast dye. Why? To establish a correct placement for the follow-up injection that contains cortisone and lidocaine.

Injections for Pain: Conclusion

After your pain physician considers your medical history and test results (imaging, diagnostics, physical and neurological exams), a pain doctor can use injections to seriously improve the quality of life of someone suffering from intense chronic pain.

Call 646-862-5555 to schedule an appointment with a physical medicine expert and pain physician, Matthew Grimm MD. Visit Spine New York City’s official website for more info here.

Spinal Injections for Pain

Do you need spinal injections for pain? Since more people have started experiencing chronic back pain, the use of spinal injections has become common as well. Spinal injections, more commonly known as epidural steroid injections, are minimally invasive. They are the most effective way to relieve joint pains in parts like back, arms, legs, and legs.

The injections play an effective role in reducing inflammation in different parts of the body. You can get different dosages when it comes to spinal injections. The injection’s effect may last for a few weeks, or it may last for a year. Different kinds of epidurals will have different effects.

In this article, I will talk more about spinal injections. What are they? How do they work? Who should use them? Moreover, when should you consider taking them?

Spinal Injections for Pain

What Are the Spinal Injections?

Spinal injections consist of various steroids. In most cases, the injection contains methyl-prednisolone, dexamethasone, triamcinolone, which are the types of corticosteroids.  The injection also contains a few various anesthetics and numbing agents such as bupivacaine or lidocaine. The doctor injects the epidural into the gaps between in your joints, where there is fat.

The corticosteroid is playing an effective role in reducing inflammation in the area. It directly targets it and provides instant results. However, the injections do not help with the size of the spinal disc. Therefore, if you are feeling pain because of your disc has increased in size, you should opt for some other treatment.

The injections only help with reducing inflammation and swelling because it flushes the extra protein present in the area. The effect is temporary, but you can boost it with regular exercise and physical therapy.

When should you Consider Spinal Injection

Spinal injections are perfect for people who deal with chronic pain in their back, neck, arm, and leg joints. However, spinal injections help you with a few bone and nervous conditions as well.


If you deal with sciatica, the condition when you feel excruciating pain along your sciatic nerve, the injection will help you a lot. During the condition, you feel excruciating pain in your buttocks, which runs down to your legs. You feel it triggering while walking.


The injection will help you with spondylolisthesis. The cause of the condition might occur if your lower or upper vertebra has a fracture or it is weakening. Vertebra’s forward slip is also a cause of this condition. When the vertebra slips, it compresses the nerve root, which causes the pain.

Herniated Disc

Spinal injections help with the herniated disc as well. A herniated disc is a condition when you develop a gel-like substance between your discs. The substance can potentially rupture or create a bulge, which weakens the annulus of the joint. The injection helps in flushing the swelling. The steroid in the injection squeezes the substance out of the joint.

Spinal Stenosis

You can treat spinal stenosis with spinal injections as well. Spinal stenosis is a condition in which your spinal canal narrows down. The narrowing of the spinal canal causes severe back and leg pain—most elderly people start facing this issue. However, spinal injections are an effective temporary solution for it.

Degenerative Disc

The degenerative disc is another common spinal issue that causes chronic pain. It is a breakage in the intervertebral disc. The breakage occurs as a result of age or weakness. However, injections can boost that function.

Unfit Candidates for Spinal Injections

Spinal injections are not for everyone. They only work for people with inflammation in joints. However, they might be deadly for people who suffer from bleeding or infection. The injection elevates blood sugar levels. Therefore, if you have diabetes, you should not opt for spinal injections. On the other hand, the injections also put a little pressure on the eyes as they have glaucoma.

Spinal Injections for Pain Specialist

Spinal injections come with several risks. Therefore you should never self-administer a spinal injection.

Injections For Pain Management: Consult A Pain Doctor

Spinal injections are the ultimate solution for getting rid of chronic pains. They are temporary. However, you can get long-term epidurals as well.

If you are looking for the top NYC pain doctor, contact Dr. Matthew Grimm at 646-862-5555.

Injections For Pain Info

Some people need injections for pain info to get relief from continuous irritation and discomfort. It becomes even more important when they face difficulty doing everyday work because of pain. Doctors recommend different injections depending on the location of the affected areas to help you return to normal life. In this post, we will discuss the types of pain injections and why a person needs them in detail for your better understanding.

Injections For Pain Info

Who Needs Injections for Pain?

Long term continuous pain like the pain of an acute injury or back pain needs injections. In this case, you feel discomfort and irritation for days or weeks, but the pain gradually starts to decrease and completely ends after some time.

On the other hand, chronic pain is unrelenting and unpredictable. It can occur every day or can appear randomly. But it never seems that you are getting better. You sometimes feel that you are free from pain one day, and the other day you can barely move. Your life and activities get in flux because you can’t predict when and how the pain will come back.

Chronic pain does not go on its own and needs treatment. These types of pain are not only discomforting, but finding relief from them is even harder. It requires different procedures to find your pain source and treat it after lots of trials and error. This is when the pain-relieving injections can help. They are great to get relief without any severe risks and complications.

Different Types of Pain Injections

Doctors use injections to administer medications into the affected area to reduce pain. These are part of interventional pain management, which relieves pain and also plays a great role in pinpointing the source of the pain.

Doctors usually use X-Ray or MRI scans to identify pain. But it shows more than an area developing pain in your body. When your doctors selectively inject different areas in the spine structure with pain reliever injections, they will start to pinpoint the problem.

Injections For Pain Info

Interventional pain management doctors have the qualification, skills, and experience to perform pain injections. An orthopedic surgeon can inject medications or refer you to other specialists.

The following are the types of injections that help to relieve different pain.

Epidural Steroid Injection

Doctors commonly use this injection to give relief to patients suffering from back pain. The epidural steroid injection contains a powerful cortisone solution that your doctor injects directly into your spine. It helps to reduce inflammation and swelling around a nerve or an area of the spinal cord.

This injection is best as most patients who get epidurals feel less pain for several weeks or months. It allows them to take part in a rehabilitation program. Usually, doctors recommend repeating the injections when any symptom starts to surface again.

Selective Nerve Root Injection

This procedure requires X-ray guidance (fluoroscopy) before giving an injection. Doctors use X-rays to locate a specific nerve root. This injection targets the troubled nerve root rather than the entire spine. The procedure needs more tightly focused injection if doctors are using it for identifying the source of pain.

Lumbar Facet Joint injection

Facet joints connect the vertebrae (bones) of your spines. These joints are present, one on the left side and the other on the right side of the spine, on each vertebra. When doctors inject medications directly into these joints with the help of fluoroscopy or X-ray guidance, it helps them to pinpoint the specific area and relieve the source of the pain.

Sacroiliac Joint Injection

The end of your spine contains a tailbone or the sacrum. The sacroiliac joints in your body attach the sacrum to the pelvis. This can cause chronic pain in both lower back and legs. Getting an injection into the sacroiliac joint will help you get relief from pain. Doctors also use these injections to identify lower back pain.

Joint and Soft Tissue Injections

Your doctor will inject a pain reliever or corticosteroid directly into the problematic soft tissue or joint space between the bone and the muscle. This helps to give you relief for weeks to months, or even longer. Your pain management doctor may also use the joint and soft tissue injections to eliminate fluid build-up in the affected joint.

Medical History before Injection

Before giving injections for pain, doctors ask your medical history. If you have any allergies to antibiotics, drugs, seafood, latex, and others, it is important to tell your doctor. You also need to inform your health provider about the following things if you want better treatment and prevent any side effects.

  • Anticoagulation medication
  • Bleeding disorders
  • Aspirin
  • NSAIDs
  • Ticlid
  • Seizure disorders
  • Diabetes
  • Need for prophylactic antibiotics
  • Pregnancy and breastfeeding
  • Hepatitis C
  • HIV

Bottom Line

Injections for pain are necessary if the issue is getting worse with time. Doctors take your medical history, inspect your body, identify the pain source, and give you options for the treatment. In the case of chronic pain, your doctor may recommend pain injections.

Contact Matthew Grimm, MD, the best pain management doctor in NYC to treat your pain. For details, you can check our website or can contact us on 646-862-5555 to book an appointment and discuss treatment options with our pain management doctor.

Cortisone Shots for the Back

Cortisone shots for the back help reduce your pain and inflammation without side effects. These shots are pretty common to overcome certain health problems caused due to inflammation in body parts. People who have chronic back pain can take cortisone shots.

Cortisone Shots for the Back NYC Doctor

Here in this article, you will learn about the cortisone shots, its benefits, and much more.

What is Cortisone?

It is a hormone developed by a small gland on the top surface of the kidney, i.e., the adrenal gland. Cortisone helps in the function of your body, especially when you are in stress. Its absence is called Addison’s disease, which can cause death if you don’t treat it on time. Cortisone is a substance that your body naturally produces; hence, it does not trigger allergic reactions.

In the case of patients with serious allergies, it is one of the most effective treatments. Cortisone, by itself, is not commonly used because of its low potency and short-acting. Pain management doctors use semi-artificial cortisone derivatives such as Celestine, Depo-Medrol, Kenalog, and others, to increase the benefits which have fewer side effects.

How do Cortisone Shots work?

Cortisone shots contain various formulas and medicines. The most common combination is the numbing drug procaine hydrochloride, which patients with oral health problems know as Novocain. This element combines with the anti-inflammatory drug called cortisone.

When the cortisone injection finds its target, the numbing part of your body starts to get better within hours. When the Novocain wears off, you may feel the pain again for some time. After 24 to 48 hours of injection, you can expect to get its results.

How is Cortisone Effective?

Cortisone is useful to reduce inflammation in a short period of time. It also helps in dissolving scar tissues, speeding the healing process, stabilizing the body’s defenses, and effectively decreasing certain cysts.

However, repeated use or larger doses can weaken the tendons if you inject cortisone injections directly. Moreover, it can soften cartilage when you inject it into a joint.

How Many Injections Do You Need?

As mentioned, repeated use with larger doses can lead to cartilage damage. Due to such practical concerns, pain management doctors usually inject a limited number of shots into a joint. However, if it works in the beginning, cortisone is greatly effective, and you will not need many shots.

Cortisone Shots for the Back | Top Pain Doctor

There is a limit to the amount of cortisone you can use in a single dose. Even if you are injecting it in several areas of the body, the dosage varies depending on the area and intensity of pain. You should not get cortisone shots for back pain more than three to four times a year.

Advantages of Cortisone Injections

When your joints get inflamed, the doctor removes the joint fluid to administer cortisone injection. Removing the fluid helps doctors analyze from laboratory testing and determine what causes the swelling. This is an accurate and powerful diagnostic test.

Another great advantage of this injection is that it gives you relief from inflammation in a particular area like your back quickly and effectively than any other traditional anti-inflammatory drugs, such as aspirin.

The injection is so effective that even a single shot is enough and doesn’t have any side effects that usually OTC oral anti-inflammatory medications have. Moreover, you can get a cortisone injection in the doctor’s office. Besides, cortisone injections offer other advantages, including rapid medication results, dependability, minimal side effects, and high success rate.

Are Cortisone Injections Painful?

This injection is not only useful but doesn’t give you pain as others do. You will feel minimal pain and get quick relief from the inflammation. Occasionally, cortisone injections for joints that are damaged or are small can feel minor pain at the time of the injection. You may feel sensation due to the needle sting or by the corticosteroid medicines. Again, pain is not common when you get this injection.

How long does a Cortisone Injection Last?

Mostly, you will feel better immediately after getting the cortisone injections, but it can take a few days to give you complete relief. A cortisone injection can help heal some medical conditions completely, such as mild trigger finger or bursitis. But some health problems can come back after a few weeks and months, such as back pain. In this case, you may want another cortisone injection to get better; however, it is better to consult your pain management doctor.

Bottom Line

If you have chronic pain in your back, which you can no longer tolerate, consult our pain management specialist to get cortisone shots. Dr. Matthew Grimm, MD, is one of the best doctors in NYC with experience in treating different types of pain. He knows exactly how to identify and ease your pain.

Contact us at 646-862-5555 to book an appointment or tele-medecine consultation to discuss treatment options for your back pain with our pain management doctor.

Caudal Injections for Pain Management

Caudal injections are best for curing lower back pain and leg pain, usually caused by sciatica, spinal stenosis, spondylosis, and other back-related issues. The doctor administers this injection into your lower back, into the space between the membrane. This membrane consists of the spinal fluid and the strongest ligament between your vertebrae. If you‘re suffering from unbearable back or leg pain, your doctor will most likely prescribe you this injection. If you want to learn more about caudal injection and its effectiveness, you must read further.

Caudal Injections for Pain Management

What is a Caudal Injection?

A caudal injection is a type of steroid injection that gets administered in the lowest area of your epidural space. This injection helps reduce lower back pain as well as leg pain caused by major back problems like sciatica, bone spurs, herniated discs, stenosis, and other related problems. The pain occurs when the nerve roots, running from your spinal cord to your back and legs, get inflamed, which could be due to a damaged disc or another condition. The only way to reduce this terrible pain is by getting a caudal injection as it helps saturate the inflammation.

The Caudal Injection Process

The process of administering a caudal injection is pretty simple, but it is painful to a certain extent. A pain management specialist injects the caudal shot in the affected area to relieve the patient of the pain and discomfort. It takes around 15 minutes, depending on the expertise of the doctor. For the injection, you will have to lie straight on an x-ray table on your abdomen. Next, the doctor will give you some intravenous medication and numb the skin on your lower back with a local anesthetic.

After this, the doctor will administer a thin needle into your lower back, above your tail bone. Next, the specialist will inject the dye and a mixture of anesthetic or steroids for pain relief. As soon as you get the injection, the medicines will then spread into the caudal and epidural spaces, which will give you some relief from the pain.

Caudal Injections

Effectiveness of Caudal Injection

Caudal injections are quite effective, especially when it comes to getting rid of severe back pain. Many people wonder how long and effective the injection is. It starts to work within 30 minutes after you get the dose. However, you might start to experience some pain again as the local anesthetic starts to wear off after a few hours.

You will begin to experience longer-term relief in two to three days when the steroid starts working. The time limit differs from person to person. For some people, the relief lasts longer than usual. If the injection helps relieve your pain, you can get the shots periodically to stay away from pain.

Potential benefits of caudal injections:

  • Instant back or leg pain relief
  • Fast recovery
  • Fewer risks involved
  • Can go home within 30mins after the injections

Potential Risks Involved

There are a few risks involved when you get the caudal injections. These risks are usually explained to you by your doctor before going in for the procedure. However, they do not last long in most cases, and your pain management doctor will help you deal with these side-effects:

  • Bleeding
  • Chance of the back area getting infected (rarely)
  • Numbness
  • May experience excessive pain
  • Headaches
  • Insomnia
  • Drowsiness
  • Nerve problems
  • Stroke
  • Spinal Cord Injury

How to Prepare For Your Caudal Injection

Whenever you plan on getting a caudal injection, you must prepare yourself mentally and physically and keep all the required information ready. There are a few things you can do to stay fully prepared for your injection.

First, when you visit your doctor, he/she will take your medical history. So keep a list of all the medications you are taking and X-ray reports of your CT scan, MRI, and any other tests you have undergone for the diagnosis and treatment of your pain.

It is best to avoid taking any medications before the process, especially if the injection is for diagnosis. This way, you can tell if the injection has worked or not. You may have to fast a few hours before your injection, but you must confirm this with your doctor.

When going for your injection, make sure to wear the comfiest clothes in your closet. Don’t wear anything tight that would stick to your body, especially the area where you’re getting the injection on.

If you feel sick or are suffering from mild flu or fever the day before your procedure, you must inform your doctor as they will guide you as to whether you should get the injection the same day or after you feel better.


If you’re struggling with severe back pain and feel like you may need a caudal injection to relieve the symptoms,  consult Dr. Matthew Grimm. He is one of the best pain management doctors in NYC and knows how to treat all types of pain. It is best not to delay the treatment as it may lead to other issues.

Visit our website or call us at 646-862-5555 to book an in person or telemedicine appointment today!

Do You Need Joint Injections For Your Pain?

Do You Need Joint Injections For Your Pain? If you have joint pain, you will agree that the pain is sometimes unbearable. Such pain can make your chores impossible and you might not feel active throughout the day. Your doctor can treat you without pills and surgeries. Injections can also be an option if you are suffering from joint pain.

Injections can help reduce pain and inflammation. You can experience fewer symptoms for months with the help of these treatments. There are several options for injectables that can help manage or eliminate your joint pain. These options are:

  • Corticosteroid Injections
  • Hyaluronic Acid (HA) Injections
  • Platelet-Rich Plasma (PRP) and Stem Cell Therapy Injections
  • Placental Tissue Matrix (PTM) Injections

Do You Need Joint Injections for Pain 01

1.     Corticosteroid Injections

These types of injections are commonly known as Steroid injections. These injections can treat a variety of conditions and are anti-inflammatory. Corticosteroid injections are the first option for defense against osteoarthritis symptoms. These injections can reduce the pain for about 2 to 3 months. They can provide you relief and reduce inflammatory cells. Another benefit of steroid injection is reducing the activity of the immune system. Injecting these injections allows doctors to deliver a high dose of medications into the affected area directly. Other than knees, doctors can also give these injections in the following areas:

  • Hip Joint
  • Shoulder, hand, and elbow
  • Sacroiliac joint
  • Facet joints of the spine
  • Ankle and foot

2.     Hyaluronic Acid (HA) Injections

Do You Need Joint Injections for Chronic Pain 02When Corticosteroid does not work, doctors inject Hyaluronic Acid injections. If the lubricant between the joint is missing, an HA injection can help replace it. Food and Drug Administration (FDA) approve these for use in the knees but some doctors use these for shoulders and hips too. These injections help provide relief from pain and stiffness.

You get this injection like you get other ordinary injections. After cleaning the area, the doctor may inject a local painkiller if you have knee swollen with access fluid. After that, the doctor will withdraw any access fluid by inserting the needle. Then the doctor inserts hyaluronic acid into the knee joint by keeping the same needle in place. HA treatment has shown great effects in experiments and studies;, anti-inflammatory, analgesic, intra-articular lubrication, and chondroprotective effects are some examples. You can find below some advantages of hyaluronic acid:

  • Your skin will look more supple and healthier.
  • It hydrates the skin and reduces the appearance of wrinkles.
  • It plays a great role in healing wounds.
  • It keeps the joints between your bones lubricated.
  • It is a great pain reliever.

3.     Platelet-Rich Plasma (PRP) Injections

PRP Injections can also treat joint pain. To promote healing these injections use your blood and platelets. Platelets contain proteins that can help in healing soft tissues. They can help alter the immune system to reduce inflammation. PRP has also been useful in promoting cell regeneration. Some advantages of Platelet-Rich Plasma injections are:

  • This plasma comes from the patient’s body and contains lesser risks.
  • These are natural and autologous fluids.
  • There is no use of pharmaceutical chemicals, plumping agents and strong acids in this treatment.
  • Treatment with Platelet-Rich Plasma has long-lasting results.
  • It only takes a few minutes to complete.
  • It increases the production of collagen.

4.     Placental Tissue Matrix (PTM) Injections

Placental Tissue Matrix is useful for decreasing pain related to osteoarthritis. These injections contain placental tissue. These tissues, obtained after healthy baby delivery of a healthy mother, are helpful for knee pain. A number of growth factors in these tissues promote healing.

  • These tissues are safe and effective for the body.
  • These are easy to administer.
  • PTM tissues do not require extensive methods to obtain.
  • Not a really expensive method to reduce pain.
  • These are free of tissue rejection concerns. This happens because of amniotic cells immune-privileged status.


Joint injections can help you prevent pain for several months and substitute painful surgeries and pills. To know better how these injections can give you relief from joint pain, contact us.

Give us a call at 646-862-5555 or book an appointment with our Pain Management Doctor to get help with your condition.

What Are Injections for Pain?

Do you need injections for pain? The pain management procedure requires the insertion of injections with image guidance. These procedures help you in pain relief and the goal is to bring you back to normal life. Pain injections are a perfect option for those who have chronic neck and back pain but are afraid of surgeries. Injections can help find the source of pain and provide relief. With the help of injections, the doctor can administer medications directly into the affected location of pain and provide relief when ordinary medicines don’t work.

What are injections for pain?

When a steroid or pain reliever medication goes into the affected area, it numbs the pain and reduces inflammation. It also creates a heat lesion on the nerve that transmits pain and prevents it from sending signals of pain to the brain. Some of the injections that help in relieving pain and inflammation in various body parts are as follows:

Spinal Injections for Treating Pain

spinal injections for painThe use of spinal injection is to diagnose and treat low back pain. The goal of the diagnostic injection is to find if the medication provides relief to your pain. Diagnosis injections provide temporary relief, usually just for a few hours and injections for treatment can provide long-lasting relief. You can few common spinal injections below:

1.     Selective Nerve Root Block:

These are the most common spinal injections. Your doctor can give you this injection if a damaged nerve root is causing leg or back pain. A nerve root serves the complete body and is a collection of nerves. When the nerve root gets compressed and irritated, it may result in leg pain. The technical name of this condition is radiculopathy and most people call it sciatica.

2.     Lumbar Facet Joint Nerve Blocks:

If the doctor suspects that your pain is heading from the joints at the back of your spine, he or she will probably recommend you facet injection. The facet joint is commonly responsible for adding integrity to the spine by allowing excessive movement. These joints are present at each side on each vertebral level and are quite small.

Neck and Back Injections for Treating Pain

When neck or back pain does not go away, your doctor will recommend you exercise and physical therapy. If the pain remains, the doctor will include injections in your treatment to ease your back and neck pain and inflammation. These injections contain steroids or numbing medicines. Common injections that doctors use to give you relief are:

1.     Epidural Injections:

Doctors deposit this medication or typically steroids in the epidural space inside the spine. It provides temporary or lasting relief. To place the needle in the right place for a better treatment, doctors use imaging guidance. Your doctor may tell you not to eat or drink a few hours before getting the injection.

2.     Selective Nerve Root Block Injections:

When doctors have to treat a spinal nerve separately, these injections are their first option. Rather than releasing medication right onto the nerve, the injection covers the area around it. . It is a long-lasting steroid. These injections are a great help in reducing pain or inflammation resulting from pressure on the nerve.

3.     Medial Branch Blocks:

It helps deposit medication around the medial branches of the spinal cord. The medial branch sends a pain signal to the brain from an arthritic facet joint. It is a type of nerve. These medial branches help relieve neck or headaches stemming from the neck.

4.     Sacroiliac (SI) Joint Injections:

These injections primarily help in diagnose or treat low back pain. The sacroiliac joints connect the sacrum with the hip on both sides and are present next to the spine.

Knee Injections for Treating Pain

1.     Corticosteroid Injections:

These steroids are similar to cortisol, which is a hormone that your body naturally produces. It helps to reduce inflammation.  These injections are effective if injected directly in the knee.

2.     Hyaluronic Injections:

Hyaluronic acid helps to provide lubrication and coats your cartilage to reduce friction when knee joints move. If you are suffering from osteoarthritis, you might be missing this lubricating substance and feel pain and inflammation. This injection introduces hyaluronic acid directly into your knee and reduces pain.


If you are suffering from pain and inflammation, give a call at 646-862-5555 or book an appointment with our Pain Management Doctor. Our doctor, Dr. Mathew Grimm is an expert in treating all kinds of pain.

Sacroiliac Joint Injections

Our body comprises multiple joints; one of them is Sacroiliac (SI) joint. These joints connect the lower spine and pelvis. Our lower back has two sacroiliac joints present on both sides of the spine. When you walk or stand, these joints lift the weight of your upper body and shift the weight to your legs.

Does your job keep you on the move? Or if it requires you to stand for the whole day, you may have experienced pain in your lower back. Your butts may also hurt; this possibly happens because of sacroiliitis.


 Where does it hurt?

You start feeling pain when inflammation of the SI joints takes place.  Initially, you may only feel pain the lower back or buttock region, but it may go down further. Sacroiliitis may cause your thighs, groin, hip, abdomen, or upper back to hurt.

What Causes SI Joint Pain?

You may feel a dull pain in the SI joints. However, the pain sharpens due to certain reasons. Let’s have a look at some of the causes of sacroiliitis.

  • If you are a fitness freak or a sports person, you are likely to begin your day with running or jogging. When the SI joints get regular pounding, you may experience pain.
  • Bumping into a motor vehicle, or falling may also damage the joints.
  • Taking long uneven strides may be troublesome.
  • When the ligaments holding the SI joints get damaged, you may experience pain with abnormal joint movement.
  • Inflammatory arthritis affecting the spine, called ankylosing spondylitis, may also damage the SI joint.
  • During pregnancy, a woman’s body releases hormones causing the joints to loosen up and stretch. The additional weight affects the SI joints and may lead to abnormal wear.

How to Relieve the Pain?

You may choose one of these ways to relieve sacroiliitis pain.

  • Physical therapy like massage, heat and cold treatments, or stretching
  • A chiropractor may adjust the joint movement
  • Damaging the nerve sending a pain signal to the SI joint
  • Sacroiliac Joint Injections

Sacroiliac Joint Injections

Studies have suggested that 10% to 27% chronic low back pain cases are a result of SI joint pain. Sacroiliac joint injections are more effective in reducing SI joint inflammation than other medications. The injection ensures months of comfort.

Pain management doctors use SI joint injection for both diagnosis and treatment of the pain. The doctor thoroughly examines the patient performing provocative tests. Three or more positive results of SI joint provocative tests confirm the joint to be the pain source. The doctor will numb the joint using anesthesia. If the pain instantly goes away, it confirms that the joint is the culprit.

To reduce the inflammation, the doctor then injects a shot of cortisone in the joint. The injection provides relief to the joint for a longer time. Sometimes the doctors also inject natural ingredients, like saline, in the joint to provide relief.

Sacroiliac Joint Injections are effective, but they can weaken joint bones. If you have sacroiliitis, only go for a few joint injections a year.

Bottom Line

If you want to live a pain-free healthy life, all your joints should work properly. If you are experiencing any spinal or musculoskeletal pain, don’t neglect it.

Contact us today and book an appointment with the best pain physicians at Spine New York City.

Injections for Pain

Neck and back pains can become a source of discomfort, interrupting your daily routine. You may face some serious trouble in small activities like sitting, standing, or even walking. Back pains may grow down to arms or legs and may lead a person to disability.

Your neck and back muscles may strain because of a poor posture – especially when you are in front of a screen. Sometimes the pain gets better with time, but chronic pains may be excruciating. Doctor visits for pain management are common worldwide.

You may relieve the pain with exercise, over-the-counter pain relievers, therapies, or oral medications. However, your doctor may give you a shot to ease your pain and inflammation.

How do Injections Help?

Injecting shots is a non-surgical treatment. Injections may treat your acute or chronic spinal pain, providing relief. Doctors use injections for diagnosis as well as treatment purposes.

The doctors inject the suspected area with numbing drugs, such as anesthesia. If the patient experiences pain relief, it confirms that the specific joint, or part is the pain source.

Compared to oral medications, injections may provide instant relief in your inflammatory or damaged nerve. Injections also help in case of spinal stenosis –narrowing of the spine.

Common Pain Injections

For treating neck and back pains, doctors generally use therapeutic injections. The pain may stem from a facet joint, a spinal nerve, or an intervertebral disc. Here are some common pain reliever injections.

·      Epidural Steroid Injections

The injections contain corticosteroid; a common steroid; and a numbing drug. The shots help to reduce inflammation.

For Back Pain: The doctor injects the medicine in the epidural space – the area around the spinal cord.

For Neck Pain: The doctor injects the shot in the facet joint located in the cervical spine bones or neck muscles.

·      Selective Nerve Block Injections

Selective nerve blocks numb a specific spinal nerve. The doctors mostly inject lidocaine (common anesthesia) around the targeted nerve. The numbness provides instant relief from the pain and lasts for several hours.

·      Medial Branch Nerve Blocks

The physician deposits the medicine around medial spinal nerve branches. Medial branch nerve is responsible for sending pain signals from the arthritic facet joints to the brain. Medial branch nerve blocks can provide instant relief from neck pain. They may also comfort and ease the headaches stemmed from the neck.

·      Discography

Nerve blocking injections also serve as diagnostic injections sometimes. The doctors inject the shots to identify the root cause of back pain. Discography helps the physician to outline the best treatment. He may inject both a steroid and anesthetic drug in the epidural space of your spine or may choose another option.

·      Sacroiliac (SI) joint injections

There are two sacroiliac joints in our lower back on either side of the spine. These joints connect our lower spine and pelvis. A pain may stem from the lower back advancing to the buttock region. The pain triggers when inflammation of SI joint occurs. Sacroiliac joints injections provide relief for several months.

Some of the injections provide instant relief, while some become effective in a week or two. Depending upon the type of shot you have received, you may need to rest. Your doctor may ask you to limit your physical activity. The above mentioned and other injections help to strengthen your muscular system.

Bottom Line

Pain injections can help with acute and chronic Spinal and musculoskeletal pains. With proper pain management, you can prevent surgical intervention. Contact us today and book an appointment with Spine New York City for your spinal treatment.

Matthew Grimm, MD

Spinal Injections for Back Pain

chronic-back-pain-medical-info-nyc-top-doctor-02Chronic back pain really is, well, a pain! Many people across the world deal with regular, chronic pain in their back. There are plenty of over-the-counter treatment solutions that may help. But in many cases, a spinal injection can be just the right thing to relieve your pain. but what are some of the causes for back pain? What can we do to remediate pain in the meantime? And how do spinal injections help?

Causes of Back Pain

Our back is one of the most frequently used parts of the body. Sitting, standing, leaning, twisting, bending, and lifting all require the key muscles in our back to activate and the specific spinal structures in our back to work properly. Over time, this constant use wears down the cartilaginous discs that cushion the space between our vertebrae. This leads to swelling, redness, and pain. Poor body mechanics and posture can also contribute to back pain. Completing the same tasks over and over, such as lifting boxes for moving or picking up objects off the floor, gradually wears down the structures in the back that are required for stability. Other conditions, including autoimmune disorders, can cause pain in the back in a similar fashion. In the unfortunate scenario of some kind of trauma, such as a car accident or other injury, the structures in the back can be severely affected, putting more pressure on the nervous system and causing pain.

What we can do About Back Pain

spinal-injections-for-back-pain-01Thankfully, there are things you can do right now to deal with your back pain. This includes simple, easy solutions like using ice packs or hot packs around the painful area. Good ergonomic techniques when used during strenuous activity can help prevent further degradation or trauma to the back. Stretching and strengthening the muscles in the back and associated areas can help support the parts of the back that are at risk for further damage. Over-the-counter pain relief medications may help to reduce swelling and pain in the affected areas temporarily. However, it must be noted that anyone these solutions only offer temporary relief. In order to really affect a lasting change, the root cause of the problem must be addressed.

How Spinal Injections can Help

different-parts-spine-for-pain-injections-diagram-03Spinal injections are a proven, beneficial way to reduce pain and swelling in the spine and back. In a spinal injection, a small amount of medication, typically a steroid or pain reliever, is injected into the painful region in the spine. This medication helps both with reducing pain and lowering swelling. For some people, these spinal injections help to relieve pain for years at a time. For others, the effects of these injections only last for a few days. Even when this is the case, the momentary relief can give you a head start on recovering from whatever caused your pain in the first place. For example, if you have a bulging disc in your back and receive a spinal injection for treatment, the swelling may go down to allow for stretching and strengthening of the surrounding area that brings the inflammation to a manageable level. At this point, more conservative treatments can be pursued and a long-term solution can be found.

Do you suffer from chronic back pain? Make an appointment with Dr. Grimm to find out if spinal injections may help you.